The effectiveness of kendall exercise vs. gong's mobilization for alleviating pain with improvment in range of motion, function and strength in cases with upper cross syndrome, assessed by dividing 44 patinets in two groups as Group A (n=22) was treated with Kendall exercises and Group B (n=22) managed by Gong's mobilization. VAS, NDI, SPADI, Goniometer and Dyanometer were used for assessing primary and secondary outcomes in patients.

Inclusion Criteria:

• Adults aged 45-65 years old
• Both genders
• Diagnosed with upper cross syndrome (UCS)
• Rounded shoulders
• Forward head posture
• Tightness in the pectoralis major and minor muscles 7. Weakness in the lower trapezius and rhomboid muscles
• Reporting neck pain, shoulder pain, or headaches

Exclusion Criteria:

• History of neck or shoulder surgery or trauma
• Presence of other musculoskeletal conditions affecting the cervical spine or shoulder girdle
• Inflammatory conditions such as rheumatoid arthritis or gout
• Neurological conditions affecting upper limb function
• Pregnancy
• Uncontrolled cardiovascular or respiratory conditions
• Contraindications to manual therapy